13. TREATMENT OF WOMEN AFTER OPERATIVE INTERVENTIONS
ON UTERIS AND UTERINE APPENDAGES WITH USE OF EHFTHERAPY
TESTS ARE CARRIED OUT IN TOMSK RESEARCH INSTITUTE OF THE BALNEOLOGY
AND PHYSIOTHERAPY OF HEALTH MINISTRY OF THE RUSSIAN FEDERATION.
The description of the method. Complexes of rehabilitation of the women who have
undergo transferred operations on uterine appendages (Complex 1) and operation of
hysterectomy concerning with hysteromyoma (Complex 2), including in influence by
electromagnetic waves of the EHF (extremely-high frequencies) -RANGE are offered.
Complex 1.
EHF - THERAPY is carried out in the morning, in 1 - 1,5 hours after breakfast in lying
position on a couch.
EHF - THERAPY can be carried out:
1. In the mode of monotherapy.
2. In combination with applications on the "bikini zone" dirties at the temperature is equal
38 - 39,5 oÑ or peat at the temperature 40 - 42 oÑ, daily for 20 minutes, N10 (function ovaries
is not changed or reduced, commissural process is expressed, painful syndrome is exist).
Complex 2.
EHF - THERAPY is carried out in the morning, in 1 - 1,5 hours after breakfast in lying supine
on a couch or sitting in convenient for female patient pose.
EHF - THERAPY is carried out in complex with conifers baths with temperature 37,5 oÑ, for
10 minutes, daily, N10.
Indications to Complex 1
State after operation on account of:
- abdominal pregnancy
- salpingolysis;
- uterine tube plastic.
In the period from 7 days up to 6 months of the post - operative period (1 or 2-nd stage of
rehabilitation).
Indications to Complex 2
State after operation on hysterectomy concerning with hysteromyoma with preservation of
uterine appendages from one or both sides at women of childbearing age in terms from 2
months after operative intervention:
1. At presence vegeto - neurotic disturbances of light and average degree and prevalence of
the hypersympathicotonia phenomena;
2. At presence of complex psychoemotional disturbances of average degree, described by the
psychological desadaptation phenomena, the increased reactive uneasiness and emotional
lability;
3. At presence concomitant dishormonal miocardiopathy.
Results:
120 female patients underwent Complex 1 after operations on uterine appendages
(concerning abdominal pregnancy, uterine tube plastic, salpingolysis).
Application of the EHF - THERAPY after operations on uterine appendages is appeared
pathogenetically the valid method, as a result of investigations it is revealed antiphlogistic
anesthetizing, anti - adhesions effect, it is normalized regional blood circulation and menstrual
cycle. Rheography of the small pelvis organs has revealed improvement blood flow. Anacrota
(0,15+0,1 ñåê) and catacrota (0,61+0,3 sec) are tending to normalization, polycrotia and
presystolic waves are meeting in single instances.
Metrectopia in direction operated uterine appendages has found out by Echography metod of
the small pelvis organs in 40 % of women before treatment and at 10 % after treatment that
testify to reduction cicatrical adhesions changes are exist. Increase of the sizes of the ovaries
in comparison with initial has decreased from 33,3 % to 8,4 % of cases.
Efficiency of treatment direct after the carried out course of treatment rate is equal 86 %, in 6
months of 50 %.
70 female patients (28 - 42 years) Complex 2 underwent after hysterectomy on account of
preserving one or both ovaries.
Our investigations showed that rehabilitation of the women with the help of EHF THERAPY promotes maintenance of functional activity of ovaries, prevents the development
of abdominal adhesion process, eliminates symptoms of the vegetative nervous system
dysfunction, normalizes psychoemotional state. These methods of the treatment can be used at
the 1 - 2 stages of the rehabilitation.
Positive shifts were revealed from the outside of functional activity
hypothalamohypophysial - ovary system, expressed in increasing of progesterone level from
7,84 + 4,6 up to 15,36 + 4,8 nmol/l (Ð › 0,05) and in parallel in increase of duration of II
phase of cycle with 9,5 + 0,96 about 11,4 + 0,99 days. After treatment the level of increase
basal temperature relative I phases of the menstrual cycle has equal 0,5 ºC. Moderate
estrogenic insufficiency was kept at 34 % of women, and cariopyknotic the index has
increased from 47 % up to 52 %. Level FSH has decreased with 13,06 + 0,53 up to
9,85 + 0,55 IU/l to treatment accordingly, ratio LH/FSH is equal 0,7. The revealed changes
testifies to the tendency to normalization of function of the staying ovaries and estrogenic
saturations of an organism under influence of the carried out complex treatment that is
acknowledgement pathogenetic therapy the offered method of rehabilitation.
Efficiency of treatment by EHF - THERAPY in complex with coniferous baths has equal 90
% on direct results. Retentivity of therapeutic effect within 12 months is equal 76 %.